Individual
MR. BLAKE J BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
1810 N. 2ND STREET, WAUSAU, WI 54403-3492
(715) 848-4884
(715) 845-5385
Mailing address
1810 N. 2ND STREET, WAUSAU, WI 54403-3492
(715) 848-4884
(715) 845-5385
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5091-125
WI
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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